Crystal Meyerson

Primary specialty

Radiologic TechnologistTaxonomy code 247100000X

License

649591 Issued in NJ

Practice address

714 Rte 35
Middletown, NJ 07748-4202

Phone

(732) 856-9800

NPI assigned

Jun 19, 2015

Last updated

Jun 24, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1434672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1508248188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 RT 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077483878",
            "telephone_number": "732-856-9800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 RTE 35",
            "city": "MIDDLETOWN",
            "state": "NJ",
            "postal_code": "077484202",
            "telephone_number": "732-856-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERSON",
        "first_name": "CRYSTAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-19",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": "NJ",
            "license": "649591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medical Health Center of Middletown, Inc (MEDICAL HEALTH CENTER of MIDDLETOWN)
• Medical Health Center, P.a.
• Memorial Sloan Kettering Cancer Center (Memorial Sloan Kettering at Monmouth - Retail)
• Memorial Sloan Kettering Monmouth
• Eric James Mendez
• Michael E Keller DMD LLC
• Nicole Mickendrow
• Kenneth Micko, P.T.
• Middletown Anesthesia
• Middletown Dental Care PA (Robert C DiBona DDS)

• Radiologic Technologist in Middletown, NJ
• Providers in Middletown, NJ by specialty
• Radiologic Technologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.